<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<title>个人信息</title>
<meta name="keywords" content="众安保险，互联网保险，网上支付，保单查询，在线理赔，让保险有温度" />
<meta name="description" content="众安保险是国内首家也是唯一一家互联网保险公司，个性化定制风险解决方案，全方位采用互联网先进科技，追求流畅、贴心、温暖的用户体验。" />
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</head>
<body>
<div class="activation-contain">
    <input type="hidden" value="1" id="changeId" />
    <div class="form-box">
      <div class="form-list dotted-line">
        <div class="form-list-left">
          姓名
        </div>
        <div class="form-list-auto">
          <input type="text" value="" name="nameView" placeholder="" readonly="readonly" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          性别
        </div>
        <div class="form-list-auto">
          <input type="text" value="" name="sexView" placeholder="" readonly="readonly" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          证件类型
        </div>
        <div class="form-list-auto">
          <input type="text" value="" name="verView" placeholder="" readonly="readonly" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          身份证码
        </div>
        <div class="form-list-auto">
          <input type="text" value="" name="codeView" data-rules="{required:true}" data-messages="{required:'请输入身份证码'}" placeholder="" readonly="readonly" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          出生日期
        </div>
        <div class="form-list-auto">
          <input type="text" value="" name="birthView" data-rules="{required:true}" data-messages="{required:'请输入出生日期'}" placeholder="" readonly="readonly" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          手机号码
        </div>
        <div class="form-list-auto">
          <input type="text" value="1382457895" name="mobileView" data-rules="{required:true}" data-messages="{required:'请输入手机号码'}" placeholder="" readonly="readonly" />
        </div>
      </div>
    </div>
  <form id="CM_Form">
    <div class="form-box" id="changeAccount">
      <div class="form-list dotted-line">
        <div class="form-list-left">
          姓名
        </div>
        <div class="form-list-auto">
          <input type="text" value="李香兰" name="name" data-rules="{required:true,emojiCk:true}" data-messages="{required:'请输入姓名'}" placeholder="请输入您的真实姓名" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          性别
        </div>
        <div class="form-list-auto">
          <select class="form-select sextype-select">
            <option value="1">男</option>
            <option value="2">女</option>
          </select>
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          证件类型
        </div>
        <div class="form-list-auto">
          <select class="form-select certype-select">
            <option value="1">身份证</option>
            <option value="2">军官证</option>
            <option value="3">港澳通行证</option>
            <option value="3">沿用原有证件</option>
          </select>
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          身份证码
        </div>
        <div class="form-list-auto">
          <input type="text" class="idCard" id="idCard" maxlength="18" value="" name="shenfenzheng" data-rules="{required:true,isIdCard:'请输入正确证件号!'}" data-messages="{required:'请输入您的证件号码',isIdCard:'请输入正确证件号!'}" placeholder="请输入您的证件号码" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          出生日期
        </div>
        <div class="form-list-auto">
          <input type="date" class="form-date" value="" name="birthdate" data-rules="{required:true}" data-messages="{required:'请输入出生日期'}" placeholder="请输入您的出生日期" />
        </div>
      </div>
      <div class="form-list dotted-line">
        <div class="form-list-left">
          手机号码
        </div>
        <div class="form-list-auto">
          <input type="text" value="" id="mobile" name="mobile" maxlength="11" data-rules="{required:true,mobile:true}" data-messages="{required:'请输入手机号码',mobile:'请输入正确的手机号码'}" placeholder="请输入您的手机号码" />
        </div>
      </div>
    </div>
    <div class="za-nobg-box plr20">
      <p class="txt12 blue">提编辑个人信息（身份证号和手机绑定后，不能修改）</p>
    </div>
    <div class="za-nobg-box plr10">
      <div class="zaw-btn-box">
        <div class="zaw-btn-box-room"><a href="javascript:void(0);" id="zaw-btn" class="zaw-btn zaw-btn-blue-bg">修改个人信息</a></div>
      </div>
    </div>
  </form>
</div>
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</body>
</html>